Organization Active NPI

Northern California Integrated Surgeons, Medical Corporation

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Lafayette, CA
National Provider Identifier
1295238442
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
Legal business name
NORTHERN CALIFORNIA INTEGRATED SURGEONS, MEDICAL CORPORATION
Practice address
2750 Rohrer Dr
Lafayette, CA 94549-5753
Phone
(520) 907-4776
NPI assigned
Mar 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John Friend
Title
Executive
Phone
(520) 907-4776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0114X Primary

Addresses

Primary practice location

2750 Rohrer Dr
Lafayette, CA 94549-5753

Mailing address

2750 Rohrer Dr
Lafayette, CA 94549-5753

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1295238442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 ROHRER DR",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945495753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 ROHRER DR",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945495753",
            "telephone_number": "520-907-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CALIFORNIA INTEGRATED SURGEONS, MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "FRIEND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "520-907-4776",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.